[通过实施数字化管理系统优化严重烧伤重症监护室的流程]。

IF 0.4 4区 医学 Q4 SURGERY
Sonja Verena Schmidt, Marius Drysch, Yonca Steubing, Christoph Wallner, Marcus Lehnhardt, Oliver Schoeffski, Felix Reinkemeier
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引用次数: 0

摘要

背景:严重烧伤病人的治疗要求很高,需要能够提供数月充分治疗的专业中心。在重症监护室建立数字化管理系统标志着现代医疗保健的巨大进步。在重症烧伤患者的专业重症监护病房中引入这样一个系统,既能带来优化的机会,也会遇到潜在的障碍。本研究旨在从工作人员的角度深入了解他们对变革的看法,并讨论在重症监护医学领域实施数字化系统的问题:方法:在建立了选择性样本后,对数字管理系统的影响进行了分类研究。通过问卷调查和简短访谈收集到的数据按每个类别的平均值进行评估,并考虑到专业群体和工作经验等特点进行解释:总的来说,医护人员都认为数字管理系统适用于重症烧伤患者的重症监护室。对生命参数的连续监测和减少用药错误被认为是积极的方面。然而,负面影响包括对烧伤伤口的记录和烧伤病人的专门记录较差:在充分考虑了经验、团队规模和病人客户等影响程序可用性的各种因素后,确定了一些需要改进的方面。总之,可以说在重症监护室引入该系统已取得了积极有利的共识。此外,可以得出的结论是,该系统对普通外科重症监护病房的效果明显优于专业重症监护病房,例如重度烧伤病人的重症监护病房。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Optimising Processes in a Severe Burn Intensive Care Unit through the Implementation of a Digital Management System].

Background: The treatment of severely burned patients is demanding and necessitates specialised centres capable of providing adequate therapy over several months. The establishment of digital management systems in intensive care units signifies a substantial advancement in modern healthcare. Introducing such a system in a specialised intensive care unit for severe burn patients presents opportunities for optimisation but also potential obstacles. This study aims to provide insights into the perception of change from the perspective of staff and discuss the implementation of digital systems in the field of intensive care medicine.

Methods: After a selective sample was established, the impacts of the digital management system were examined across various categories. The data collected through a questionnaire and brief interviews were evaluated in terms of average values within each category, with interpretations taking into account characteristics such as professional group and work experience.

Results: Overall, the digital management system is considered suitable for use in the intensive care unit for severe burn patients by both medical and nursing staff. The continuous monitoring of vital parameters and the reduction of errors in medication administration are highlighted as positive aspects. However, negative points include the inferior documentation of burn wounds and specialised documentation for burn patients.

Conclusion: In due consideration of various factors such as experience, team size, and patient clientele, which impact the usability of the program, some aspects in need of improvement were identified. In summary, however, it can be said that there was a positive and favourable consensus regarding the introduction of such a system in the intensive care unit. Additionally, it can be concluded that the system is described as significantly more effective for a general surgical intensive care unit than for a specialised intensive care unit, e. g. an intensive care unit for severe burn patients.

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来源期刊
CiteScore
1.00
自引率
16.70%
发文量
85
审稿时长
6-12 weeks
期刊介绍: In Originalarbeiten und Fallberichten finden Sie die neuesten Informationen über: Diagnostik Verfahrenswahl state of the art / neueste Techniken rekonstruktive Verfahren Behandlung infolge von Traumata oder OP Bewertung der Ergebnisse Klinische Forschung Interessante Darstellung der neuesten Erkenntnisse in Originalarbeiten und Fallberichten. Exzellent veranschaulicht durch ein klares Layout und reiche Bebilderung. Überzeugen Sie sich selbst! Organschaften Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie, Deutschen Gesellschaft für Handchirurgie und Österreichischen Gesellschaft für Handchirurgie Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der peripheren Nerven und Gefäße Organ der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen
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